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General NPI Number Information
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NPI Number | 1316924970
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Entity Type | Individual
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Provider Name | VICTORIA B. QUINTANA ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/26/2005
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 9165 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5406
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Country | US
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Telephone | 727-578-7618
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Fax | 727-578-7619
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Provider Business Mailing Address
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Address Line | 10051 5TH ST N STE 200
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2211
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Country | US
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Telephone | 727-824-0780
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Fax | 813-514-8891
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1789052
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License Number State | FL
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